Active NPIIndividual provider

Mr. Glenroy Bristol, MED

Counselor, Mental Health in Indian Orchard, Massachusetts

NPI Number1841442993
Practice location
34 Goodwin Street, Indian Orchard, MA 01151
Fax
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Last updated
July 21, 2022

Glenroy Bristol is a Counselor, Mental Health based in Indian Orchard, MA. Glenroy Bristol practices in Indian Orchard, MA and has the professional credentials of MED. The NPI Number for Glenroy Bristol is 1841442993 and holds a License No. 9228 (MA). The current practice location address for Glenroy Bristol is 34 Goodwin Street, Indian Orchard, MA 01151 and can be reached out via phone at 413-250-4816.

Provider Profile Details

NPI Number
1841442993
Provider Name
Glenroy Bristol
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
34 Goodwin Street, Indian Orchard, MA 01151
Phone Number
413-250-4816
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
October 21, 2008
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Goodwin Street
Indian Orchard, MA 01151
Zip
01151
Phone Number
413-250-4816
Indian Orchard, MA 01151Get directions →

Provider Business Mailing Address Details

Address
34 Goodwin Street
Indian Orchard, MA 01151
City
Indian Orchard
State
MA
Zip
01151
Phone Number
413-250-4816

License Information

Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
9228
License State (2)
MA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Glenroy Bristol, MED?

The NPI number of Mr. Glenroy Bristol, MED is 1841442993. It was assigned on October 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Glenroy Bristol, MED?

Mr. Glenroy Bristol, MED is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 9228.

Where does Mr. Glenroy Bristol, MED practice?

The practice location is 34 Goodwin Street, Indian Orchard, MA 01151. The office can be reached at 413-250-4816 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841442993 directly on the NPPES registry website.

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